A Diagnostic Significance of Transurethral and Transrectal Ultrasonography / 대한비뇨기과학회지

An ultrasonic scanner in the field of urology is described that can be used for transurethral as well as for transrectal scanning of the bladder and prostate. The bladder was visualized best by transurethral scanning, while the rectal approach was preferable for examination of the prostate. Transurethral ultrasonography was performed in 7 patients with bladder cancer. Transrectal ultrasonography was performed in 21 controls and 41 patients with prostatic disease. The following results were obtained: 1. Diagnostic accuracy of the staging of transurethral ultrasonography was 85.7% in bladder cancer. 2. The average values of maximum anterioposterior, superio-inferior and transverse diameter. obtained from ultrasonogram were 2.43+/-0.29cm, 3.27+/-0.41cm, 4.07+/-0.91cm in control group ;3.11+/-0.6lcm, 4.16+/-0.66 cm, 4.71+/-0.76cm in B.P.H.; 3.65+/-0.46cm, 4.88+/-0.23cm, 5.98+/-0.18cm in prostatic cancer. 3. Diagnostic accuracy of transrectal ultrasonography was 93% in B.P.H. and 80% in prostatic cancer. 4. Transurethral ultrasonography enabled us to determine the degree of tumor invasion of the bladder wall and was useful to help select appropriate therapy. Transrectal ultrasonography has proved especially in estimating prostatic size and in detecting pathology.

A Case of Penile Cancer Transformed from the Giant Condyloma Acuminata / 대한비뇨기과학회지

The incidence of Giant Condyloma Acuminata of the penis is unknown but considered rare. They are similar to condyloma acuminata, histologically and grossly similar to squamous cell ca. Most authorists consider that they get the real possibility of malignant change and they had been first described by Buschke in the German literatures in l896 as a variant of condyloma acuminata. A case of malignancy of the penis which has apparently transformed from Giant Condyloma Acuminata of the penis is herein presented with review of related literatures.

A Case of Infected Urachal Sinus / 대한비뇨기과학회지

The urachus lies between the peritoneum and transversalis fascia and extend from the anterior dome of the bladder toward the umbilicus. The urachal sinus is opened at the umbilicus superiority and not connected with the bladder. This may become symptomatic at any age with an infected discharge. We experienced a case of infected urachal sinus in a 21 years old girl, so we report this case with review of literatures.

Giant Hydronephrosis Combined with Ureteral Stone / 대한비뇨기과학회지

Urinary obstruction leads to hydronephrosis, distention of renal pelvis and calices with urine accompanying atrophy of renal parenchyma. Especially longstanding incomplete obstruction may lead to giant hydronephrosis and terminate in destruction of the organ We experienced a case of giant hydronephrosis combined with ureteral stone in 50 year old man, so we report this case with review of literatures.